Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.
NPIDirectory

NPI 1366375248

Individual provider · NPI 1366375248 Deactivated

This NPI was deactivated on November 6, 2026. The record is kept for reference and should not be used for billing or referrals.

NPI 1366375248 is listed in the national NPI registry.

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Record details

NPI number1366375248
Entity typeIndividual (Type 1)
NPI enumerated—
Last updated in NPPES—